Dbt Center Of Silicon Valley | |
1570 The Alameda Ste 319 San Jose CA 95126-2305 | |
(408) 207-5269 | |
Not Available |
Full Name | Dbt Center Of Silicon Valley |
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Speciality | Marriage & Family Therapist |
Location | 1570 The Alameda Ste 319, San Jose, California |
Authorized Official Name and Position | Tricia Jordan Mlnarik (PRESIDENT/CEO) |
Authorized Official Contact | 4082075269 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dbt Center Of Silicon Valley 545 Meridian Avenue Ste. D #28233 San Jose CA 95126-6618 Ph: (408) 207-5269 | Dbt Center Of Silicon Valley 1570 The Alameda Ste 319 San Jose CA 95126-2305 Ph: (408) 207-5269 |
NPI Number | 1538675525 |
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Provider Enumeration Date | 12/28/2017 |
Last Update Date | 03/08/2024 |
Certification Date | 03/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538675525 | NPI | - | NPPES |
1023464385 | Medicaid | CA | |
1275666117 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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